Complications after ERCP in patients with primary sclerosing cholangitis

Comorbidities, Sphincterotomy, and Balloon Dilation Predict Post-ERCP Adverse Events in PSC Patients: Operator Experience Is Protective

“…Identified risk factors for adverse events included therapeutic rather than diagnostic ERCP (RR 7.2) [9], urgent ERCP, [8] greater than five therapeutic maneuvers/interventions, number of interventions performed during ERCP [2], duration of the procedure [2,8], and female gender [8].…”

“…jaundice, fever, cholangitis, etc.) compared to ERCP for less urgent or diagnostic indications [8,9].…”

Role of endoscopy in primary sclerosing cholangitis: European Society of Gastrointestinal Endoscopy (ESGE) and European Association for the Study of the Liver (EASL) Clinical Guideline

“…ERCP carries an increased risk for complications in the context of PSC, especially pancreatitis, cholangitis and extravasation of contrast, although not all the studies were documented such an increased risk in PSC (69,74). In the systematic survey (75) of post-ERCP complications on various indications for ERCP including 21 prospective studies and 16,855 patients the number of total complications was 6.85% (CI 6.46-7.24%).…”

“…Several studies have evaluated the risk of complications in PSC patients undergoing ERCP (63)(64)(65)(66)(67)(68)(69)(70)(71)(72)(73)(74). ERCP carries an increased risk for complications in the context of PSC, especially pancreatitis, cholangitis and extravasation of contrast, although not all the studies were documented such an increased risk in PSC (69,74).…”

Palliation of Malignant Obstructive Jaundice

“…In this procedure a percutaneous radiologic guidewire can be passed across the strictures, with endoscopic cannulation over this [33,34]. Complications from ERCP include cholangitis, perforation, bleeding, fistulae, and acute pancreatitis [35][36][37][38][39].…”